Individual
HUGO RAFAEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 K ST, MODESTO, CA 95354-1018
(209) 550-5869
Mailing address
633 CASTLE HAVEN DR, TRACY, CA 95377-8619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW20651
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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